MMWR Morb Mortal Wkly Rep. 2003 Sep 19;52(37):885-6.
During August 22-26, 2003, four injection-drug users (IDUs) in Yakima County, Washington, sought medical care at the same hospital with complaints of several days of weakness, drooping eyelids, blurred vision, and difficulty speaking and swallowing. All four were regular, nonintravenous injectors of black tar heroin (BTH), and one also snorted BTH. This report summarizes the investigation of these cases, which implicated wound botulism (WB) as the cause of illness.
2003年8月22日至26日期间，华盛顿州亚基马县的四名注射吸毒者前往同一家医院就医，主诉多日来身体虚弱、眼睑下垂、视力模糊、说话和吞咽困难。这四人都是黑色焦油海洛因（BTH）的常规非静脉注射使用者，其中一人还吸食BTH。本报告总结了对这些病例的调查，调查结果表明伤口肉毒中毒（WB）是致病原因。
